Provider Demographics
NPI:1841490844
Name:PEOPLE IN NEED - LAWRENCE COUNTY
Entity type:Organization
Organization Name:PEOPLE IN NEED - LAWRENCE COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL OFFICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GAYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:KISSICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-657-3303
Mailing Address - Street 1:2703 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-8671
Mailing Address - Country:US
Mailing Address - Phone:724-657-3303
Mailing Address - Fax:724-657-3326
Practice Address - Street 1:229 PORTERSVILLE RD
Practice Address - Street 2:
Practice Address - City:ELLWOOD CITY
Practice Address - State:PA
Practice Address - Zip Code:16117-2431
Practice Address - Country:US
Practice Address - Phone:724-752-9114
Practice Address - Fax:724-752-9120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-19
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA400930251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1000689OtherCOMMUNITY CARE BEHAVIORAL HEALTH
259666000OtherMAGELLAN BEHAVIORAL HEALTH
317380OtherUPMC HEALTH PLAN
0007758127OtherAETNA BEHAVIORAL HEALTH
PA830412OtherHIGHMARK
00000212529OtherUNISON HEALTH PLAN
PA1007449820011Medicaid
PA1892851OtherHIGHMARK PSYCHIATRIST
2173831OtherUNITED HEALTHCARE
PA332310OtherVALUE OPTIONS INC
PA850486OtherHIGHMARK PSYCHOLOGIST
PA1007449820003Medicaid
PA332310 A998320OtherVALUE BEHAVIORAL HEALTH
0007758127OtherAETNA BEHAVIORAL HEALTH
PA1007449820011Medicaid